Pantovic S, Kadija S, Dotlic J, Stojnic J, Jeremic K, Sparic R, Stefanovic A
Clin Exp Obstet Gynecol. 2015;42(5):692-5.
A primigravid woman at 29th gestational week with placental abruption causing fetal death, that underwent instant cesarean section, developed a disseminated intravascular coagulation (DIC), revealed by hemoperitoneum and hematoma of the abdominal wall. After re-laparotomy and transfusion of blood, fresh plasma, and platelets, the patient was discharged from hospital on the 14th postoperative day completely recovered. To conclude, conservative surgical approach for DIC treatment is possible and safe. Novel antifibrinolitic drugs are recommended for obstetrical patients with DIC to enable a healthy subsequent pregnancy.
一名孕29周的初产妇因胎盘早剥导致胎儿死亡，随即行剖宫产术，术后出现弥散性血管内凝血（DIC），表现为腹腔积血和腹壁血肿。再次剖腹手术并输注血液、新鲜血浆和血小板后，患者术后第14天康复出院。总之，DIC的保守手术治疗是可行且安全的。对于患有DIC的产科患者，推荐使用新型抗纤溶药物，以确保后续妊娠顺利。
